Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,773.00 / $3,174.00 / $11,581.00	Facility		$1,773.00	$3,174.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,591.00 / $2,814.00 / $11,581.00	Professional		$1,591.00	$2,814.00	$11,581.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,579.50 / $1,579.50 / $14,669.07	Facility		$1,579.50	$1,579.50	$14,669.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,365.04 / $2,365.04 / $2,365.04	Professional		$2,365.04	$2,365.04	$2,365.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00